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Peroneal artery pseudoaneurysm--a case report and literature review.

Sadat U, See T, Cousins C, Hayes P, Gaunt M - BMC Surg (2007)

Bottom Line: It was managed successfully using an endovascular technique consisting of selective catheterization and coil embolization.The coils were placed in the peroneal artery, both proximal and distal to the pseudoaneurysm.Endovascular technique can be successfully used to treat pseudoaneurysms in difficult settings.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cambridge Vascular Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. sadat.umar@gmail.com

ABSTRACT

Background: Aneurysms of the peroneal artery are infrequent and consist mainly of pseudoaneurysms.

Case presentation: This report describes an unusual case of peroneal pseudoaneurysm developing after thromoboembolectomy with a Fogarty catheter. It was managed successfully using an endovascular technique consisting of selective catheterization and coil embolization. The coils were placed in the peroneal artery, both proximal and distal to the pseudoaneurysm.

Conclusion: Endovascular technique can be successfully used to treat pseudoaneurysms in difficult settings.

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Distal subtraction angiogram shows a distal peroneal pseudoaneurysm and a mid peroneal aneurysmal dilatation.
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Figure 1: Distal subtraction angiogram shows a distal peroneal pseudoaneurysm and a mid peroneal aneurysmal dilatation.

Mentions: A colour Doppler ultrasound of the leg suggested the presence of a peroneal pseudoaneurysm. Digital subtraction angiography confirmed a 5.1 × 2.4 cm pseudoaneurysm at the distal third of the mid peroneal artery. There was also a small aneurysmal dilatation of the mid peroneal artery (Figure 1). Embolization using five 4 mm × 2 mm coils was performed, proximal and distal to the pseudoaneurysm (Figure 2). The more proximal aneurismal dilatation was also embolised using two 5 mm × 5 mm coils (Figure 2). Post embolisation ultrasound 24 hrs later confirmed no flow into the pseudoaneurysm. The patient was symptom free and was discharged from hospital after 2 days.


Peroneal artery pseudoaneurysm--a case report and literature review.

Sadat U, See T, Cousins C, Hayes P, Gaunt M - BMC Surg (2007)

Distal subtraction angiogram shows a distal peroneal pseudoaneurysm and a mid peroneal aneurysmal dilatation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC1851946&req=5

Figure 1: Distal subtraction angiogram shows a distal peroneal pseudoaneurysm and a mid peroneal aneurysmal dilatation.
Mentions: A colour Doppler ultrasound of the leg suggested the presence of a peroneal pseudoaneurysm. Digital subtraction angiography confirmed a 5.1 × 2.4 cm pseudoaneurysm at the distal third of the mid peroneal artery. There was also a small aneurysmal dilatation of the mid peroneal artery (Figure 1). Embolization using five 4 mm × 2 mm coils was performed, proximal and distal to the pseudoaneurysm (Figure 2). The more proximal aneurismal dilatation was also embolised using two 5 mm × 5 mm coils (Figure 2). Post embolisation ultrasound 24 hrs later confirmed no flow into the pseudoaneurysm. The patient was symptom free and was discharged from hospital after 2 days.

Bottom Line: It was managed successfully using an endovascular technique consisting of selective catheterization and coil embolization.The coils were placed in the peroneal artery, both proximal and distal to the pseudoaneurysm.Endovascular technique can be successfully used to treat pseudoaneurysms in difficult settings.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cambridge Vascular Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. sadat.umar@gmail.com

ABSTRACT

Background: Aneurysms of the peroneal artery are infrequent and consist mainly of pseudoaneurysms.

Case presentation: This report describes an unusual case of peroneal pseudoaneurysm developing after thromoboembolectomy with a Fogarty catheter. It was managed successfully using an endovascular technique consisting of selective catheterization and coil embolization. The coils were placed in the peroneal artery, both proximal and distal to the pseudoaneurysm.

Conclusion: Endovascular technique can be successfully used to treat pseudoaneurysms in difficult settings.

Show MeSH
Related in: MedlinePlus